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EUS-guided pancreatic rendezvous though minor papilla
Rendezvous pancreático guiado por ecoendoscopia a través de papila menor
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Gornals" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Sergio" "apellidos" => "Bazaga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Albert" "apellidos" => "Garcia-Sumalla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:4 [ "nombre" => "Joan B." "apellidos" => "Gornals" "email" => array:1 [ 0 => "jgornals@bellvitgehospital.cat" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, University of Barcelona, Catalonia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Faculty of Health Sciences, Universitat Oberta de Catalunya, Barcelona, Catalonia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Rendezvous pancreático guiado por ecoendoscopia a través de papila menor" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1364 "Ancho" => 1305 "Tamanyo" => 262573 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Pancreatograhy via EUS-guided transgastric puncture of pancreatic duct using 22-G needle. Anterograde advancement of a 0.018-in. guidewire through the stricture. Anterograde guidewire crossing the minor papilla until the duodenal lumen by fluoroscopy and endoscopy view (metallic clip located at major papilla).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">EUS-guided pancreatic rendez-vous technique is a demanding technique.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1–3</span></a> When pancreatic parenchyma is preserved, the use of thinner needles in combination with smaller guidewires may be less aggressive compared with 19-gauge needle (most commonly used) and may facilitate the ductal access technique.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">4,5</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A 56-year-old woman with recurrent acute pancreatitis since 2009 secondary to pancreas divisum and pancreatic stricture. After a failed transpapillary attempt via ERCP, a same-session EUS-guided pancreatic drainage was decided. At EUS exam, in the medial region of the body was identified a hyperechoic nodular image compatible with calcification behaving a dilated main pancreatic duct. Likewise, the duct lead in the minor papilla compatible with the pancreas divisum (type II). EUS-guided transgastric puncture with a thinner needle (22-gauge) up to the main pancreatic duct (PD) was performed through the pancreatic parenchyma with the purpose of reducing pancreatic injury. A 0.018-in. guidewire was advanced anterogradely within the needle. Immediately, exchange by duodenoscope was done, and the guidewire was identified emerging through the minor papilla. Retrograde pancreatic cannulation was achieved, and minor papillotomy with sequential dilation of pancreatic stenosis with a 4-mm balloon was performed. Finally, a retrograde straight plastic stent (7<span class="elsevierStyleHsp" style=""></span>Fr<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>9<span class="elsevierStyleHsp" style=""></span>cm, Advanix™ PancreaticStent) was delivered. The patient remains asymptomatic 10 months after the procedure (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">All authors have read and agreed on the content of this manuscript.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Author contributions</span><p id="par0020" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1.</span><p id="par0025" class="elsevierStylePara elsevierViewall">Albert Garcia-Sumalla: acquisition of data, analysis and interpretation of data, editing figures, critical revision of the article, and final approval.</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2.</span><p id="par0030" class="elsevierStylePara elsevierViewall">Sergio Bazaga, Joan B Gornals: study concept and design, acquisition of data, analysis and interpretation of the data, drafting of the article, editing figures, critical revision of the article, and final approval.</p></li></ul></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Author contributions" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1364 "Ancho" => 1305 "Tamanyo" => 262573 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Pancreatograhy via EUS-guided transgastric puncture of pancreatic duct using 22-G needle. Anterograde advancement of a 0.018-in. guidewire through the stricture. Anterograde guidewire crossing the minor papilla until the duodenal lumen by fluoroscopy and endoscopy view (metallic clip located at major papilla).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The endoscopic ultrasound-assisted Rendez-Vous technique for treatment of recurrent pancreatitis due to pancreas divisum and ansapancreatica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. López-Durán" 1 => "C. Zaera" 2 => "González-Martín JÁ" 3 => "J.R. Foruny" 4 => "A. Albillos" 5 => "E. 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Novikov" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/eus.eus_3_20" "Revista" => array:6 [ "tituloSerie" => "Endosc Ultrasound" "fecha" => "2020" "volumen" => "9" "paginaInicial" => "175" "paginaFinal" => "179" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32584312" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic ultrasound-guided pancreatic duct drainage" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Y. Nakai" 1 => "H. Kogure" 2 => "H. Isayama" 3 => "K. Koike" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Scand J Gastroenterol" "fecha" => "2019" "volumen" => "25" "paginaInicial" => "210" "paginaFinal" => "217" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2320940" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic ultrasound-guided rendezvous in benign biliary or pancreatic disorders with a 22-gauge needle and a 0.018-inch guidewire" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Martínez" 1 => "J. Martínez" 2 => "J.A. Casellas" 3 => "J.R. Aparicio" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Endosc Int Open" "fecha" => "2019" "volumen" => "7" "paginaInicial" => "1038" "paginaFinal" => "1043" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004500000006/v1_202206220657/S2444382422001092/v1_202206220657/en/main.assets" "Apartado" => array:4 [ "identificador" => "75461" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004500000006/v1_202206220657/S2444382422001092/v1_202206220657/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382422001092?idApp=UINPBA00004N" ]
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